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Hematemesis from esophageal varices associated with esophageal perforation: sclerotherapy and endoscopic clipping

M Zippi1, G Traversa, R Pica

  • 1Unit of Gastroenterology and Digestive Endoscopy, Sandro Pertini Hospital, Rome, Italy. maddyzip@yahoo.it

European Review for Medical and Pharmacological Sciences
|July 11, 2012
PubMed

A 46-year-old man was referred to our Unit for hematemesis. The medical history of the patient revealed an HCV-related cirrhosis, a human immunodeficiency virus (HIV) infection and recent and persistent episodes of emesis. An urgent gastroscopy disclosed evidence of active bleeding from varices of the lower third of the esophagus and a concomitant laceration of the esophageal wall due to the emesis. These two conditions have been endoscopically diagnosed and successfully treated by sclerotherapy and endoscopic clipping.

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